RXDIRECT INC. NPI 1750304838

NPI Information

NPI: 1750304838
Provider Name: RXDIRECT, INC.

Doing Business As: JENNINGS MCCALL CENTER PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
2300 MASONIC WAY
FOREST GROVE, OR
ZIP 97116
Phone: (503) 357-4499
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RXDIRECT, INC. is a long term care pharmacy pharmacy in Forest Grove, OR. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. RXDIRECT, INC. NPI is 1750304838. The provider is registered as an organization entity type.
The provider Is Doing Business As Jennings Mccall Center Pharmacy.

The provider's business location address is:

2300 MASONIC WAY
FOREST GROVE, OR
ZIP 97116-043
Phone: (503) 357-4499
Fax: (503) 357-4479

The provider's authorized official is Phuong M Phan .
The authorized official title is Administrator and has the following contact phone number (503) 657-9422.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 2/1/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	333600000X	Pharmacy		RP-0001701-CS	OREGON	No
2	3336L0003X	Pharmacy	Long Term Care Pharmacy	IP-0001981-CS	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	210400	MEDICAID	OREGON
2	4910760001	MEDICARE ID-TYPE UNSPECIFIED	OREGON	PART B AND DME

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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